You are on page 1of 2
arded—oa 0° APPLICATION FORM (sree ye tg wh of oteral + fare ) For Holiday Hor be uged by staff members (all categories) {RIFT /Name in full Block Lettrs.. act SARIS ‘UG = / Designation ....... a sara, Fore (BA) shatter Daa OSGL Hay Sway Branch/Department (with full address) . Con. Ampere Ie "Dat (#8) usa wearer BAA / Circle Welfare Committee aedta we 4 / STATE BANK OF INDIA wart ger eral / Local Head Office pe wee ‘The President Koil age oer, warts Brae whe 3 are a THROUGH THE PRESIDENT, LOCAL IMPLEMENTATION COMMITTEE ee io cc Rea te B arewrer Te A Rate. BoM 2el2 W_Ol 22017. aw SS case en feat 3 ry vo wer orahen ot | eae Pras aR eRe vg fry ve & 18 wont aver or ares AH rewrer eT 1 Please allot me a room in the Bank's Holiday Home Situated at. days preferably from. confirm that I shall remain on leave on above dates. (4 wh femal ar ore BEAT / | shall abide by the rules bye-laws. Gi) % etoon weer & fe AF eh Aart ar yar BEAT / | declare that | shall pay all dues payable by me. (iy oR A ae a eet wr GTA TSMR 4 ae ot om aes 8 Beth OKI S fay afraEd oe € 1 In the event of non-payment of any dues to me, | authorise the bank to recover the same from my salary. ART aie io / My Alc Ne amen/ Branch aRae & aaeat oT flac vi A wre WE / Details of the family member to who will company to me. for _~.or from any date avail art / Name ‘Waa, / Relationship ory / Age 1 Aer aeee. Ze, 2 3 “4 5 + : a feats / Date..28 | 20 iz. Free. wed Geum BA & Panel sant areal] @ weTER / Signature of Applicant Forwarded for consideration of Circle Welfare Committee. afta / Secretary 3H / President errter rarer WAR area Fe A BA YO. WeM/Local implementation Committoo S. B. it Ive wUiw / Draft No... feri@ / Date ‘Bifers—ar_aly Worse @ var HL Favouring ‘Holiday-Cum-Convaleascent Home Account’ drawn on. APPLICATION FORM FOR BOOKING. (TO BE MADE BY AMEMBER OF THE STAFF (ALL CATEGORIES) FOR USE OF HOLIDAY HOME(S) Name in full... NITIN. ARORA (Block letters) Designation: ..CUSTOME.® ASSISTANT........P/F.Index Number... 65¢@9B4.4 Deptt. /Branch: .. SME... ENOUSTRIAL...CATAIE.. KANPOR. Mobil No/ Tel.No

You might also like